Individual provider Active NPI

Michael Bauer, OTR/L

  • Occupational Therapist
  • Fort Morgan, CO
National Provider Identifier
1376057091
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005222 Issued in CO
Practice address
1000 Lincoln St # Cs4200
Fort Morgan, CO 80701
Phone
(970) 867-6544
NPI assigned
Nov 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0005222 CO Primary

Addresses

Primary practice location

1000 Lincoln St # Cs4200
Fort Morgan, CO 80701

Mailing address

442 La Costa LN
Johnstown, CO 80534-9066

Other practice location 1

5201 W 11th St Apt 1211
Greeley, CO 80634-2175
Phone (970) 590-6827

Other practice location 2

442 La Costa Ln
Johnstown, CO 80534-9066
Phone (970) 590-6827

Other practice location 3

442 La Costa Ln
Johnstown, CO 80534-9066
Phone (970) 590-6827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT.0005222COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bauer Occupational Therapy, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1376057091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 LA COSTA LN",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST # CS4200",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "80701",
            "telephone_number": "970-867-6544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 W 11th St Apt 1211",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806342175",
            "country_code": "US",
            "telephone_number": "970-590-6827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "442 La Costa Ln",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805349066",
            "country_code": "US",
            "telephone_number": "970-590-6827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "442 La Costa Ln",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805349066",
            "country_code": "US",
            "telephone_number": "970-590-6827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MICHAEL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.